Individual
MS. JENNIFER M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
(414) 744-9052
Mailing address
4920 S 14TH ST, MILWAUKEE, WI 53221-2872
(414) 282-6010
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304403
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42025500
—
WI
Enumeration date
02/09/2007
Last updated
07/09/2007
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